Rehabilitation Center of Des Moines

In the surveyor’s words

From the most serious findings on record at Rehabilitation Center of Des Moines, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 4, 2022

  Based on observations, clinical record and policy review, and staff and resident interviews, the facility failed to provide adequate nursing supervision and assistance devices to mitigate risk for elopement for 2 of 9 residents reviewed (Residents #32 and #23). Elopement is defined as a resident leaving the facility without staff knowledge or permission. The facility door alarm system only sounded on the first floor where there were times when there were no staff present on that floor to monitor the alarm. On other floors, a light displayed on a screen at the nurse's station that also showed which residents had pressed their call light for assistance. However, there was no sound to alert staff that the door alarm had been activated on the first floor. 1. […]

• Actual harm, isolatedF689Jun 6, 2024

  Based on clinical record review, policy review, and staff interview, the facility failed to ensure 1 of 1 residents reviewed for vehicle safety(Resident #8) was secured in a van during transport, causing the resident to fall out of her seat. The facility reported a census of 65 residents. Findings include: The Quarterly Minimum Data Set(MDS) assessment tool, dated 10/11/23, listed diagnoses which included diabetes, non-Alzheimer's dementia, and anxiety disorder and listed her Brief Interview for Mental Status(BIMS)score as 15 out of 15 indicating intact cognition. […]

• No harm, potential for more than minimal, widespreadF814Oct 4, 2022

  Based on observations, interviews, and review of the facility's policy, it was determined the facility failed to ensure three of three outside dumpsters were maintained in a sanitary condition. Specifically, the lids and sliding doors on the sides of the dumpsters were open. The facility reported a census of 72 residents. Findings included: A review of the facility's Garbage and Rubbish Disposal policy/procedure revised September 2022 revealed, It is the policy of this facility that garbage and rubbish shall be disposed of in accordance with current state laws regulating such matters. […]

• No harm, potential for more than minimal, patternF641Sep 16, 2025

  Based on electronic record review (EHR), staff interviews, policy review, and guidance from the 2024 Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual the facility failed to accurately complete the Minimum Data Set (MDS) Assessment for 5 of 18 resident. Residents #1, #3, #6, and #13 were not coded correctly regarding pneumococcal vaccinations and Resident #3 and #13 were not coded correctly regarding the use a Code Alert (wander guard) bracelet. The facility reported a census of 72. Findings include: 1.The MDS Assessment completed on 7/10/25 revealed Resident #1 with a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS indicated Resident #1's pneumococcal vaccination was not up to date and it was offered and declined. […]

• No harm, potential for more than minimal, patternF883Sep 16, 2025

  Based on record review, staff interview and policy review the facility failed to vaccinate an eligible resident with the pneumococcal vaccine for 5 of 5 resident reviewed, (Residents #1, #3, #6, #8 and #13). The facility reported a census of 72 residents.Findings include: 1.The Minimum Data Set (MDS) assessment for Resident #1 dated 8/23/24 revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15 which indicated completely intact cognition. It included diagnoses of anemia, coronary artery disease (CAD - arteries that supply blood to the heart muscles), diabetes mellitus, Alzheimer's disease, non-Alzheimer's dementia, and chronic obstructive pulmonary disease (COPD). It indicated the resident had not received a pneumococcal vaccination. […]